Self-employed people are a privileged lot. But, that doesn’t mean they don’t have to worry about their health insurance. In fact, self-employed people have a lot of factors to take into account when it comes to their health insurance.
Some factors include whether they should get an individual policy or a group policy, whether they need maternity cover, and whether they need dental cover.
This blog will explore some of the most commonly asked questions about health insurance for self employed people and provide some answers.
Which factors should I be looking for in a health insurance plan?
The following factors should be considered when selecting a health insurance plan:
- Coverage for medical expenses, including preexisting conditions.
- A high deductible. This means that you would have to pay a set amount out of pocket before the health insurance company begins to cover any costs.
- Health maintenance organization (HMO) plans typically have higher premiums than traditional indemnity plans but offer more comprehensive coverage.
- Read and consider a plan’s fine print. Most plans exclude preexisting conditions, yet some will have expanded essential health benefits that provide more coverage than the standard individual policy.
- If your hour’s change, call to make sure it’s reflected in the premium cost so you can more accurately determine how much additional protection is needed for your future working hours or family assets that may not be held separately from their employer (personal property ).
How much does self-employed health insurance cost?
When comparing self-employed health insurance plans, it is important to consider the level of coverage and the features included. Generally speaking, self-employed health insurance rates are typically higher than those for employees because the individual is responsible for paying out-of-pocket costs.
However, there are a variety of plans available that can suit different needs and budgets.
Top 10 Health Insurance For Self Employed
Finding a policy that meets your exact needs may be challenging if you are self-employed. To simplify the search for health insurance coverage, compared below are ten popular plans many self-employed individuals or part-time entrepreneurs consider.
1) Kaiser Permanente- benefits for $250/day of hospitalization with no restrictions on day length (up to 9 days max) and high deductible ($10k/$5k depending on family size )
2) UnitedHealthcare- benefits for $500 per day split between two hospitals or emergency room visits (Mon- Fri) with a maximum of 4 days, no restrictions on the length of stay. High deductible ($3k/$1k) depends on family size and includes if you change plans within 18 months. Fee waivers are available to low-income individuals and families when obtaining coverage, as discussed in #5 below. (See details here ).
3) Aetna- benefits for $1000/day of hospitalization ( 50% covered) but has a 90-day maximum stay or no restrictions on the length of stay. High deductible ($2500/$1250 with healthcare savings accounts ) includes limited coverage in 30 states and high co-payments dependent upon family size and individual situation
4) Anthem Blue Cross & Blue Shield- benefits for No dollar amount is specified as a maximum. High deductible ($500 per office visit) with no limits on the length of stay but can include health savings policies that allow users to save money out of their own pockets ( which lowers the odds of having sudden, significant expenses ) and copays depending upon family size
5) Humana- benefits for $1000 benefit; Universal multiple coverages; ability use benefits from one company in addition to another— Kaiser or Aetna or United may cover one day, Humana the next.
6) Coventry- benefits for $1000+ (up to 10 days) primary benefit, unlimited visits ($1500), no restrictions on the length of stay. High deductible ($2500/$1500 with catastrophic health coverage and cost-sharing reduction subsidies).
Benefits expire if they haven’t been accessed within 30 days.
7) Geisinger Health Plan- benefits for One day up to an unspecified maximum amount dependent upon hospital stay or 90 total net premiums paid. High deductible ($500, with utilization review).
If the primary company covers less than 20% of medical needs (approx $2000 in a year), then the patient can participate in any other policy. If more insured beneficiaries go to buy elsewhere, Geisinger is excluded from the plan. (See details here )
8 ) Freedom Care- benefits for $1000 copay and complete care but not hospitalization. High deductible ($5,000 per person) with no benefits up to the first $3K of costs. Copay skyrockets on high utilization (approx. $15 per 100 visits).
Many people do use Freedom Care, but they don’t necessarily make it a good policy by increasing their out-of-pocket expenses and making them change insurance providers frequently to find an affordable plan that covers treatments and treatment facilities.
9) Assurant Health- benefits for $1000 maximum benefit and complete care but no hospitalization. High deductible ($5,000 per person) with a copay of up to $300 on high usage (approx two visits a year).
10) Medicare Coverage- Medicare enrollees can also use these plans if they live in an area where it is federally authorized. The most common plans are Guidant Corp (HDHPs), but many other Federal agencies administer their insurance policies, such as Social Security payments or the Veterans Administration.
The benefits of these standard medically underwritten basic health plans depend on the sponsoring employer group, your income level, and any tobacco addiction approved by a federal government.
Some medically underwritten health plans are available to individuals, which vary in terms of the benefits they offer and their premium prices. Depending on your circumstances, one of these plans may be a good option.
However, remember that as with any health insurance policy – “You are only insured for what you buy.”
FAQ (Frequently Asked Question)
Is there a difference between single and family coverage?
There is a significant difference between single and family coverage. Single coverage means that you are covered only by your health insurance policy. Family coverage means that you are covered by your spouse’s or partner’s health insurance policy and your own.
What are the benefits of getting health insurance for self employed?
There are several benefits of getting health insurance for self employed individuals. First, it can protect them from unexpected out-of-pocket costs if they contract a severe illness.
Second, it can provide financial assistance in an injury or accident.
Third, it can provide peace of mind knowing that they have access to necessary healthcare should something happen.
How much does it cost to get health insurance for self employed?
There is no set answer to this question as health insurance for self employed individuals can vary significantly in price. A good rule of thumb is to research the cost of specific policies before signing up.
Can you get medical If you are self-employed?
You may be able to get medical insurance through your own business, but you should check with your accountant or a financial advisor to see if it is a good option for you.